Review Article

Outcome and Challenges of Kidney Transplant in Patients with Sickle Cell Disease

Table 1

Outcomes of kidney transplant in sickle cell disease patient.

Authoroutcome

Chatterjee (1980) [24]1-year patient survival 86%
1-year graft survival 67% mortality 1st year 13%
Increased sickle cell crisis
Barber et al. (1987) [22]1-year graft survival 25%
Crises in 75%
Miner et al. (1987) [27]Recurrent nephropathy
Chatterjee (1987) [25]1-year patient survival 88%
1-year graft survival 82% in live, 62% in cadaveric,
Increased sickle cell crisis
Montgomery et al. (1994) [23]1-year patient and graft survival 100%
Increased sickle cell crisis
Warady and Sullivan (1998) [29]1-year graft survival 89%
2-year graft survival 71%
Patient survival 89%
Ojo et al. (1999) [31]Delayed function 24%
Acute rejection 26%
1-year graft survival 78%
3-year graft survival 46%
1-year patient survival 78%
3-year patient survival 59%
Median survival 33 months
Recurrent nephropathy
Bleyer et al. (2001) [28]1-year patient survival 90.5%
3-year patient survival 75.0%
1-year graft 82.5%
3-year graft survival 53.8%
Abbott et al. (2002) [8]Risk of mortality same as in transplanted non sickle cell disease
O'Rourke et al. (2008) [32]Recurrent allograft dysfunction from vascular congestion and tubular necrosis
Scheinman (2009) [33]10-year patient survival 56%
Kim et al. (2011) [34]Intragraft sickle cell vasoocclusive crisis as a cause of early allograft loss